社区美沙酮维持治疗者自杀未遂现况及心理康复策略研究  

STUDY ON CURRENT STATUS OF ATTEMPTED SUICIDE AND PSYCHOLOGICAL REHABILITATION AMONG HEROIN ADDICTS UNDER COMMUNITY-BASED METHADONE MAINTENANCE TREATMENT

作　　者：许美振[1] 朱凯星[1] 郭钜旋[1] XU Meizhen ZHU Kaixing GUO Juxuan(Haizhu District Center for Disease Control and Prevention , Guangzhou , 510288)

机构地区：[1]广州市海珠区疾病预防控制中心,广州510288

出　　处：《中国药物依赖性杂志》2017年第3期210-213,共4页Chinese Journal of Drug Dependence

摘　　要：目的:了解社区美沙酮维持治疗者自杀未遂情况,为制定吸毒者的自杀危机干预措施提供依据。方法:采用现况研究的方法对103名吸毒者进行面对面询问式问卷调查,收集调查对象吸毒、自杀未遂时间以及自杀未遂原因等资料。结果:103名调查对象中,既往自杀未遂率16.5%(17/103),吸毒后自杀未遂人年发生率(次/人年)明显高于吸毒前(χ~2=23.330,P=0.0001);自杀未遂最主要的原因是吸毒(76.4%);吸毒者社会支持得分明显低于一般人群,差异有统计学意义(P<0.001)。结论:吸毒者自杀未遂发生率较高,社会支持状况较差。建议在美沙酮门诊开展自杀风险评估,减少自杀行为发生。Objective： To explore the current status of suicide attempt among heroin addicts under community-based methadone maintenance treatment（ MMT）,in order to provide scientific evidence for crisis intervention among drug users.Methods： Using cross-sectional study,anonymous questionnaires were completed by 103 drug addicts. The information of drug use,attempted suicide,and causes of suicide were collected. Data were analyzed using SPSS17. 0 software.Results： Among the 103 respondents,lifetime prevalence of attempted suicide was 16. 5%（ 17/103）. Person-year-incidence of attempted suicide（ time/person-year） after the drug users was significantly higher than before（ χ~2=23. 330,P = 0. 0001）. The major reason for suicide was drug taking（ 76. 4%）. Social support score was lower than the general population and the difference was statistically significant（ P 0. 001）.Conclusion： The drug addicts have high risk for suicide attempts and poor social support. Suicide crisis intervention should be carried out in the clinic of MMT,reduce the incidence of drug addicts.

关 键 词：美沙酮维持治疗 自杀未遂 影响因素 心理康复 

分 类 号：R749[医药卫生—神经病学与精神病学]